Which of the following best describes the purpose of the secondary assessment?
Select one:
A. To discover and care for the patient's specific injuries or medical problems
B. To determine the priority of patient transport
C. To identify immediate life threats
D. To evaluate the effectiveness of any interventions - ANSWER A
You respond to a 67-year-old female who has fallen at home. On arrival the patient is con-
scious and alert, with no respiratory or cardiac compromise. She states she tripped and fell
and now has pain in her left hip. She thinks she might have heard a "pop" as she hit the
floor. She has her neighbor at her side and says it is all right if you leave—the neighbor can
get her up and to her favorite chair. She's afraid she can't afford the ambulance and the hos-
pital, and she is sure she is just feeling her age. You know that the ambulance is on its way
and should arrive soon.
Following the call, one of the neighbors stops you and asks what happened over at that
house. You know you cannot speak with the neighbor concerning the patient's condition be-
cause it would breach:
Select one:
A. the standard of care.
B. your values.
C. patient confidentiality.
D. customer service protocols. - ANSWER C
Which of the following statements is TRUE regarding a stroke patient?
1
,Select one:
A. It is important to determine that the patient has truly had a stroke and not a seizure.
B. It is important to obtain verbal and written consent from the patient before transporta-
tion.
C. It is important to make sure the patient is feeling better before the ambulance departs.
D. It is important to transport this patient to the hospital immediately. - ANSWER D
A 17-year-old boy has fallen from a tree. He is not very coherent and cannot stand. Based on
the mechanism of injury, what should you assume?
Select one:
A. He is likely to have a head injury, which can lead to psychogenic shock.
B. A pulmonary embolism caused obstructive shock, leading to the fall.
C. Since he is young, his heart will pump faster to compensate for any shock, so no treat-
ment is needed.
D. There is internal bleeding, which can lead to hypovolemic shock. - ANSWER D
A patient who is not breathing should receive oxygen via:
Select one:
A. nonrebreather face mask.
B. Venturi mask.
C. bag-valve mask.
D. nasal cannula. - ANSWER C
Which one of the following best describes status epilepticus?
Select one:
a. Prolonged seizure, or repeated seizures without regaining consciousness
b. Seizure that involves rhythmic contraction and relaxation of the muscles
c. Seizure that involves "staring off into space" for a few moments, then resuming activities
2
,d. Seizure that is preceded by an aura, such as the perception of an unusual odor - AN-
SWER A
Your patient is a 25-year-old female who has overdosed on fentanyl. In addition to providing
ABC care, you should be careful to avoid:
Select one:
A. generalized infections.
B. allowing the patient to vomit.
C. administering oxygen.
D. exposure to the drug. - ANSWER D
A 76-year-old man is complaining of chest pain and dizziness after falling off his porch. He
has a rapid and weak pulse, and his skin is cool, pale, and sweaty. His blood pressure is
96/64, and he says he feels as though he might pass out.
The patient's blood pressure is abnormally low. This is called ________, which is part of the
pathophysiology of shock.
Select one:
A. hypertension
B. hypoperfusion
C. hypotension
D. hyperperfusion - ANSWER C
The primary assessment is designed to help the Emergency Medical Responder:
Select one:
A. compare vital signs at specific intervals.
B. make a quick, less detailed assessment of the most critical areas of your patient.
C. collect and report subjective findings.
3
, D. detect and correct all immediate threats to life. - ANSWER D
Your patient is vomiting bright red blood. You should suspect:
Select one:
A. active internal bleeding.
B. tension pneumothorax.
C. diverticulitis.
D. appendicitis. - ANSWER A
The abdominal cavity is separated from the chest cavity by the:
Select one:
A. rib cage.
B. liver.
C. stomach.
D. diaphragm. - ANSWER D
Your patient requires mouth-to-mask ventilations. You place the mask over her face, with
your thumbs and fingers forming a C shape on each side of the cone. You take a normal
breath and breathe into the one-way valve over ________ for each breath.
Select one:
A. 30 seconds
B. half a second
C. two seconds
D. one second - ANSWER D
The pulse of an infant under the age of 12 months is assessed at the:
Select one:
A. neck.
4
Select one:
A. To discover and care for the patient's specific injuries or medical problems
B. To determine the priority of patient transport
C. To identify immediate life threats
D. To evaluate the effectiveness of any interventions - ANSWER A
You respond to a 67-year-old female who has fallen at home. On arrival the patient is con-
scious and alert, with no respiratory or cardiac compromise. She states she tripped and fell
and now has pain in her left hip. She thinks she might have heard a "pop" as she hit the
floor. She has her neighbor at her side and says it is all right if you leave—the neighbor can
get her up and to her favorite chair. She's afraid she can't afford the ambulance and the hos-
pital, and she is sure she is just feeling her age. You know that the ambulance is on its way
and should arrive soon.
Following the call, one of the neighbors stops you and asks what happened over at that
house. You know you cannot speak with the neighbor concerning the patient's condition be-
cause it would breach:
Select one:
A. the standard of care.
B. your values.
C. patient confidentiality.
D. customer service protocols. - ANSWER C
Which of the following statements is TRUE regarding a stroke patient?
1
,Select one:
A. It is important to determine that the patient has truly had a stroke and not a seizure.
B. It is important to obtain verbal and written consent from the patient before transporta-
tion.
C. It is important to make sure the patient is feeling better before the ambulance departs.
D. It is important to transport this patient to the hospital immediately. - ANSWER D
A 17-year-old boy has fallen from a tree. He is not very coherent and cannot stand. Based on
the mechanism of injury, what should you assume?
Select one:
A. He is likely to have a head injury, which can lead to psychogenic shock.
B. A pulmonary embolism caused obstructive shock, leading to the fall.
C. Since he is young, his heart will pump faster to compensate for any shock, so no treat-
ment is needed.
D. There is internal bleeding, which can lead to hypovolemic shock. - ANSWER D
A patient who is not breathing should receive oxygen via:
Select one:
A. nonrebreather face mask.
B. Venturi mask.
C. bag-valve mask.
D. nasal cannula. - ANSWER C
Which one of the following best describes status epilepticus?
Select one:
a. Prolonged seizure, or repeated seizures without regaining consciousness
b. Seizure that involves rhythmic contraction and relaxation of the muscles
c. Seizure that involves "staring off into space" for a few moments, then resuming activities
2
,d. Seizure that is preceded by an aura, such as the perception of an unusual odor - AN-
SWER A
Your patient is a 25-year-old female who has overdosed on fentanyl. In addition to providing
ABC care, you should be careful to avoid:
Select one:
A. generalized infections.
B. allowing the patient to vomit.
C. administering oxygen.
D. exposure to the drug. - ANSWER D
A 76-year-old man is complaining of chest pain and dizziness after falling off his porch. He
has a rapid and weak pulse, and his skin is cool, pale, and sweaty. His blood pressure is
96/64, and he says he feels as though he might pass out.
The patient's blood pressure is abnormally low. This is called ________, which is part of the
pathophysiology of shock.
Select one:
A. hypertension
B. hypoperfusion
C. hypotension
D. hyperperfusion - ANSWER C
The primary assessment is designed to help the Emergency Medical Responder:
Select one:
A. compare vital signs at specific intervals.
B. make a quick, less detailed assessment of the most critical areas of your patient.
C. collect and report subjective findings.
3
, D. detect and correct all immediate threats to life. - ANSWER D
Your patient is vomiting bright red blood. You should suspect:
Select one:
A. active internal bleeding.
B. tension pneumothorax.
C. diverticulitis.
D. appendicitis. - ANSWER A
The abdominal cavity is separated from the chest cavity by the:
Select one:
A. rib cage.
B. liver.
C. stomach.
D. diaphragm. - ANSWER D
Your patient requires mouth-to-mask ventilations. You place the mask over her face, with
your thumbs and fingers forming a C shape on each side of the cone. You take a normal
breath and breathe into the one-way valve over ________ for each breath.
Select one:
A. 30 seconds
B. half a second
C. two seconds
D. one second - ANSWER D
The pulse of an infant under the age of 12 months is assessed at the:
Select one:
A. neck.
4
